GOLD SERVICE SITE INSPECTION - tsas

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

Details

• Auditor

• Contractor

• Site Address
  Address

• Orientation

  Media

Preparation

• RAMS available and signed?

  Yes

  No

  N/A

• Date of RAMS

  Date

• Induction Record Available?

  Yes

  No

  N/A

• Sign in record available?

  Yes

  No

  N/A

• F10 form available?

  Yes

  No

  N/A

Emergency and welfare facilities

• Are adequate welfare facilities available?

  Yes

  No

  N/A

• Are first aid facilities available?

  Yes

  No

  N/A

• Are fire precautions appropriate?

  Yes

  No

  N/A

Personal protective equipment

• Are workers wearing suitable PPE?

  Yes

  No

  N/A

• Are facilities available for drying clothing?

  Yes

  No

  N/A

Hazardous substances.

• Are all hazardous substances suitably stored?

  Yes

  No

  N/A

• Do all chemicals used have suitable CoSHH assessments?

  Yes

  No

  N/A

• Are hazardous substances used in accord with CoSHH assessment?

  Yes

  No

  N/A

• Do staff have to use RPE

  Yes

  No

  N/A

• Please identify the type of masks being used

• Has a check for face fit testing been made

  Yes

  No

  N/A

• Employee Name

• Record of face fit test

  Media

• Yes

  No

  N/A

Roof Work

• Does this job involve roof work?

  Yes

  No

  N/A

• Are fragile areas suitably protected?

  Yes

  No

  N/A

• Are all edges suitably protected?

  Yes

  No

  N/A

Scaffolding

• Does this job involve fixed scaffold?

  Yes

  No

  N/A

• Has scaffold been erected by CISCRs registered company.

  Yes

  No

  N/A

• Has a scaffold handover certificate been issued?

  Yes

  No

  N/A

• Is there a scaffold inspection tag correctly completed?

  Yes

  No

  N/A

• Is the scaffold safe?

  Yes

  No

  N/A

Ladders

• Does this job involve ladders?

  Yes

  No

  N/A

• Are all ladders inspected?

  Yes

  No

  N/A

• Are all ladders in good condition?

  Yes

  No

  N/A

• Are all ladders suitably secured?

  Yes

  No

  N/A

• Are measures in place to prevent access to ladders when site not occupied?

  Yes

  No

  N/A

Mobile Elevated Platform

• Does this job involve mobile elevated platforms?

  Yes

  No

  N/A

• Type of mobile elevated platform?

  Select Cherry picker Scissor lift Other

  • Cherry picker
  • Scissor lift
  • Other

• Do operators have suitable training records on site!

  Yes

  No

  N/A

• Has a daily inspection record been provided

  Yes

  No

  N/A

• Is an emergency rescue plan in place?

  Yes

  No

  N/A

Tools

• Are hand tools in use in good condition

  Yes

  No

  N/A

• Are power tools PAT tested

  Yes

  No

  N/A

• If grinders are used do staff have suitable training records?

  Yes

  No

  N/A

• If trailing cables are used are they installed to minimise trip hazard?

  Yes

  No

  N/A

• If extension reels are used are they fully unreeled?

  Yes

  No

  N/A

Housekeeping.

• Is suitable storage for materials provided?

  Yes

  No

  N/A

• Are arrangements in place to keep the work area tidy during the day?

  Yes

  No

  N/A

• Are suitable waste disposal facilities provided.

  Yes

  No

  N/A

Site security

• Are measures in place to prevent unauthorised access during the working day?

  Yes

  No

  N/A

• Are measures in place to prevent unauthorised access out of hours?

  Yes

  No

  N/A

Transport and parking

• Are suitable arrangements for parking?

  Yes

  No

  N/A

• Are suitable arrangements in place for deliveries and unloading?

  Yes

  No

  N/A

• Are transport arrangements on site satisfactory?

  Yes

  No

  N/A
Property Condition

• Plot Number

• Orientation Picture

  Media

• Is vehicle parking close to the premises appropriate

  Yes

  No

  N/A

• Is access to the plot safe e.g. clear level route, any excavations protected

  Yes

  No

  N/A

• Are floors and stairs in the property free of slip/trip hazards

  Yes

  No

  N/A

• Is there adequate space on the floor for workers to circulate

  Yes

  No

  N/A

• Are staircases fitted with appropriate handrails

  Yes

  No

  N/A

• Is lighting in the property adequate

  Yes

  No

  N/A

• Is the temperature in the property adequate

  Yes

  No

  N/A

• Are other trades working in the same premises

  Yes

  No

  N/A

• Do other trades impede work being carried out or are affected by our works

  Yes

  No

  N/A

• Select Type of Restriction

  Dust

  Noise

  Fume

  Congestion

  Other

• Detail Other

• Yes

  No

  N/A

Issues and Concerns (not raised earlier)

• Issue

Other good practices (not raised earlier)

• Comment

• Conclusion

• Sign off

  Sign